Individual
TINA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 STANIFORD ST FL 3, BOSTON, MA 02114-2517
(617) 726-4626
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245609
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
245609
MA
Other
Enumeration date
06/25/2010
Last updated
09/28/2017
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